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Evolution of Paediatric Medicine in Sri Lanka: Honouring Professor Herbert Aponso on his 100th Birthday.

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Prof. Aponso

Professor Herbert Allan Aponso, born on March 25, 1925, recently celebrated his 100th birthday at his serene home in Kandy. Surrounded by his cherished children, the occasion not only honoured his extraordinary life but also served as a tribute from his academic colleagues, recognising his outstanding contributions to the field of paediatrics in Sri Lanka. Professor Aponso is widely recognised for his exceptional ability to combine extensive field experience with academic teaching and groundbreaking research. He emphasised social causes of disease and maintained that a disease is not just a manifestation of biological factors in the human body, but an expression of social and environmental factors as well. He encouraged his students to consider social aspects, such as family factors and poverty, in order to explain diseases, particularly childhood diseases such as malnutrition.

Born in Lakshapathiya, Moratuwa, Aponso began his academic journey at Prince of Wales College, Moratuwa, excelling in the Senior School Certificate and London Matriculation Examinations. His medical aspirations led him to the University of Colombo in 1943 and subsequently to the Medical College, where he graduated MBBS with honours in 1949. Pursuing further specialisation, he trained in paediatrics at the prestigious Great Ormond Street Hospital for Children, the largest and oldest children’s hospital in the UK, earning his DCH (London) in 1956 and MRCP (Edinburgh) in 1957.

Upon his return to Ceylon in 1958, Aponso earned his MD in Medicine and commenced a distinguished academic career. He joined the Faculty of Medicine in Colombo as a Senior Lecturer in 1963 and subsequently took on the role of Lecturer-in-Charge of Paediatrics at the University of Ceylon in Peradeniya in 1964. His career saw steady progression as he was promoted to Associate Professor in 1974 and ultimately attained the position of full Professor of Paediatrics in 1977.

Aponso was a Fellow of both the Royal College of Physicians (Edinburgh) and the Ceylon College of Physicians. He actively contributed to the Kandy Society of Medicine, where he served as President from 1974 to 1975. Beyond medicine, he played key roles in community organisations. Before relocating to Kandy, he was the president of the Moratuwa YMCA and a founding member of the Moratuwa Y’s Men Club. Later, he led the Kandy Y’s Men’s Club, which evolved into the Mahanuwara Y’s Men’s Club.

His contributions extended into promoting nutritional advancements, notably advocating for the consumption of soya. He pioneered the preparation of soya products in the kitchen of the Peradeniya Teaching Hospital and established a Soya Centre linked to the Kandy YMCA. Further showcasing his dedication to public health, he presided over the Sri Lanka Association for Voluntary Surgical Contraception and Family Health during two separate periods: 1977–1979 and 1986–1987. Additionally, he led the Sri Lanka Paediatric Association from 1976–1977.

Even after retiring from the University of Peradeniya in 1993, his impact endured. In recognition of his lifelong contributions, the university awarded him an honorary DSc in 2022. Through his tireless dedication, Professor Aponso profoundly influenced paediatric medicine in Sri Lanka, leaving an enduring legacy in both academic and medical spheres. Paediatrics as a specialised field of medicine in Sri Lanka has evolved over centuries, shaped by indigenous healing traditions, colonial medical advancements, and modern institutional developments. During colonial times under the Portuguese and Dutch, children continued to be treated through traditional medicine. The British colonial administration formalised Western medical education and established hospitals. In 1870, the Ceylon Medical College (now the Faculty of Medicine, University of Colombo) was founded, producing doctors trained in Western medicine. Paediatric care as a distinct discipline began to emerge in the early 20th century, having previously been part of general medicine. The introduction of vaccination programmes, particularly against smallpox, was a major public health advance introduced under the Vaccination Ordinance of 1886. It was during the1920s that Maternal and Child Health Clinics were setup in villages, laying the foundations for addressing child health issues in the country.

The early decades of the century saw the establishment of paediatric units in major hospitals, a critical step towards recognising and addressing the distinct medical needs of children. The establishment of paediatric units in major hospitals in Sri Lanka began in the mid-20th century, with significant developments occurring in the 1950s and 1960s. These units were set up to provide specialised care for children, addressing their unique medical needs. For example, the Lady Ridgeway Hospital for Children in Colombo became a national tertiary care centre, offering advanced paediatric services Hospitals such as the Colombo General Hospital (now the National Hospital of Sri Lanka) and played a pioneering role in creating specialised wards dedicated to paediatric care, laying the foundations for future advancements in the field.

A major turning point in the progress of paediatrics in Sri Lanka came with the appointment of Dr. C. C. de Silva as the first Professor of Paediatrics at the University of Ceylon (now the University of Colombo) in the 1950s. He was instrumental in formalising paediatric education and training, ensuring that future medical professionals were equipped with the knowledge and skills to provide specialised care for children. The introduction of dedicated paediatric courses in medical schools marked a shift from traditional general practice to a more specialised approach to child healthcare. The 1950s also saw the expansion of paediatric services beyond Colombo, with provincial hospitals establishing their own paediatric units, making specialised care accessible to a wider population.

The latter half of the 20th century witnessed remarkable progress in paediatric care, with the establishment of postgraduate training programmes aimed at producing highly qualified paediatricians. These programmes were designed to meet the increasing demand for specialised medical professionals who could address the complex healthcare needs of children. Alongside these educational advancements, there was a significant improvement in neonatal and maternal healthcare services, leading to better survival rates for newborns and reducing infant mortality. Innovations in paediatric research and healthcare policies further contributed to improvements in the overall well-being of children in Sri Lanka.

By the 1980s, paediatrics had firmly established itself as a distinct and essential medical discipline in Sri Lanka. The introduction of specialised paediatric subfields such as neonatology, cardiology, and nephrology allowed for more targeted treatment and improved health outcomes for children with complex medical conditions. The role of paediatricians expanded beyond hospital care, with increased involvement in public health initiatives such as immunisation programmes and nutritional interventions. The collaborative efforts of the government, medical institutions, and healthcare professionals ensured that paediatric care in Sri Lanka continued to progress in parallel with global medical advancements.

The development of paediatric specialization in Sri Lanka during the 20th century was a transformative journey that laid the groundwork for the country’s modern child healthcare system. From its humble beginnings in general hospital wards to the establishment of specialised training programmes and research initiatives, paediatrics evolved into a well-defined and essential medical discipline. This progress not only improved healthcare outcomes for children but also contributed to the overall strengthening of the medical field in Sri Lanka. Today, paediatrics continues to be a vital component of the healthcare system, building upon the foundations set during the 20th century to ensure a healthier future for the nation’s children. Professor Aponso was integral to the shaping of this process of development, in the 1950s and afterwards, fully engaged in every aspect. His involvement was not just academic, as he was an advisor to the government and other organisations, such as the World Health Organization, on matters about advancements in child health.

One of his most significant accomplishments was a six-year research project, generously funded by the World Health Organization (WHO) and the Canadian International Development Agency (CIDA). This initiative was integral to addressing pressing health challenges within the Mahaweli Accelerated Development Programme in its initial phase. The project focused particularly on improving healthcare services in System ‘C’ of Girandurukotte, a region populated by settlers relocated from villages inundated due to the construction of large tanks and reservoirs. The programme was launched shortly after the settlers arrived, aiming to tackle the myriad health issues they encountered as newcomers to the dry zone settlements.

Under Aponso’s leadership, ‘mothers’ clubs’ were established in hamlets in each of the four settlement units chosen for intervention. These clubs became vital community spaces where families could engage in discussions about the health problems they faced. The challenges were numerous and varied, including skin diseases, issues with drinking water, snake bites, elephant attacks, and accidents sustained while working in newly cleared paddy lands. Malaria and flu posed an especially serious threat at the time, necessitating timely treatment.

The mothers’ clubs operated as dynamic forums where settlers could participate in question-and-answer sessions about their health concerns. These sessions often culminated in providing treatments for those afflicted. The efforts were supported by Dr. (Mrs.) Fernando, a dedicated health officer in ‘System C’ of Girandurukotte, who attended most of the meetings, ensuring professional medical assistance. Professor Aponso was also assisted by lecturers at the Department of Paediatrics and a health education officer, Mrs. Alagoda, whose skills in engaging with mothers played a pivotal role in the success of the discussions and outreach programmes.

During this period, the Centre for Intersectoral Community Health Studies (CICHS) emerged under the visionary leadership of Professor Aponso. As an interdisciplinary scholarly organisation dedicated to advancing health research in Sri Lanka, CICHS made remarkable strides in the field. Among its pioneering initiatives, the sexual-risk prevention programme stood out as a milestone. This programme prioritised fostering individual competencies while shaping cultural norms that encourage healthy sexual decision-making, reflecting the organisation’s commitment to impactful research and community well-being.

As the project manager of the WHO/CIDA project, I had the privilege of working closely with Professor Aponso. I travelled frequently from my office at the Department of Paediatrics at Peradeniya to the villages, coordinating the programme’s activities. We collected household data on a sample within selected settlement units, such as Teldeniyaya, Hombariyawa, Millaththewa and Rambewa. To make a comparison, we also collected data from Mawanella rural villages, which was considered the control area. This information was then meticulously analysed using an IBM computer, a remarkable technological feat at a time when computers were a rarity.

Our research team, comprising approximately ten recent sociology graduates, including KMHB Kulasekera, RM Karunasekara and Nandani de Silva, worked tirelessly to collect, compile and interpret the data. The findings were shared at various conferences in the form of scholarly articles, providing valuable contributions to both national and global conversations on the public health challenges faced by communities in transition.

Professor Aponso’s work not only made a profound impact on the lives of those settlers but also left an indelible mark on the field of social paediatrics, demonstrating the transformative power of community-based health initiatives supported by collaborative research.

Aponso’s contributions to child healthcare, particularly in the areas of neonatology, nutrition, and medical education are important. As a student of Dr. C. C. de Silva, he was deeply influenced by his mentor’s pioneering work in paediatrics and carried forward his legacy by further strengthening child healthcare services in Sri Lanka. Dr. L.O. Abeyratne was the first Professor of Paediatrics at Peradeniya, and, upon his retirement, Professor Aponso succeeded him, continuing to advance paediatric education and healthcare in Sri Lanka. Aponso was particularly known for his work in neonatal care and the prevention of childhood malnutrition. He played a key role in introducing and promoting best practice in newborn care, helping to reduce infant mortality rates in Sri Lanka. His advocacy for improved maternal and child health policies contributed to the expansion of paediatric services beyond Colombo, ensuring that specialized care was accessible to children in rural areas as well.

Beyond clinical practice, Professor Aponso was a dedicated medical educator. He trained and mentored numerous paediatricians, helping to shape the next generation of child healthcare professionals in Sri Lanka. His work in medical research and teaching influenced advancements in paediatric care and was

instrumental in establishing higher standards in paediatric training programmes. In 2011, in commemoration of his work, Dr. Ananda Jayasinghe edited a collection of essays titled ‘In honour of Herbert Allan Aponso, emeritus professor of paediatrics, University of Peradeniya, Sri Lanka.’

Professor Aponso is a remarkable individual whose humility is as profound as his ability to listen with intention and honour to the perspectives of those around him. A celebrated expert in his field, he was elected President of the Sri Lanka Paediatric Association in 1976 and ascended to the role of full Professor of Paediatrics in 1977. His dedication extended far beyond academia—he served as President of the Young Men’s Christian Association in Kandy during three pivotal periods: 1966–1968, 1973–1975, and 1984–1988.

In 1952, he embarked on a lifelong partnership with Jayanthi Vimala Dias, now deceased, building not just a family but a legacy of intellect and social impact. Together, they raised three children—Ajith, Heshan, and Charmalie—who each distinguished themselves in society. Their home became a vibrant epicentre of stimulating dialogue and collaborative ideas, welcoming friends to partake in lively, thought-provoking discussions.

For me, the memory of Professor Aponso is forever intertwined with the dynamic days of the Mahaweli research project and CICHS initiatives, where his presence enriched every endeavour. As he continues his retirement journey, I wish him abundant health and days brimming with vitality, joy, and a renewed sense of purpose.

by M. W. Amarasiri de Silva
(Emeritus Professor of Sociology, University of Peradeniya Sri Lanka and Lecturer at the University of California, Santa Cruz, USA).



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Wishes, Resolutions and Climate Change

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Exchanging greetings and resolving to do something positive in the coming year certainly create an uplifting atmosphere. Unfortunately, their effects wear off within the first couple of weeks, and most of the resolutions are forgotten for good. However, this time around, we must be different, because the nation is coming out of the most devastating natural disaster ever faced, the results of which will impact everyone for many years to come. Let us wish that we as a nation will have the courage and wisdom to resolve to do the right things that will make a difference in our lives now and prepare for the future. The truth is that future is going to be challenging for tropical islands like ours.

We must not have any doubts about global warming phenomenon and its impact on local weather patterns. Over its 4.5-billion-year history, the earth has experienced drastic climate changes, but it has settled into a somewhat moderate condition characterised by periods of glaciation and retreat over the last million years. Note that anatomically modern Homo sapiens have been around only for two to three hundred thousand years, and it is reasoned that this stable climate may have helped their civilisation. There have been five glaciation periods over the last five hundred thousand years, and these roughly hundred-thousand-year cycles are explained by the astronomical phenomenon known as the Milankovitch Cycle (the lows marked with stars in Figure 1). At present, the earth is in an inter glacial period and the next glaciation period will be in about eighty thousand years.

(See Figure 1. Glaciation Cycles)

During these cycles, the global mean temperature has changed by about 7-8 degrees Centigrade. In contrast to this natural variation, earth has been experiencing a rapid temperature increase over the past hundred years. There is ample scientific evidence from multiple sources that this is caused by the increase in carbon dioxide gas in the atmosphere, which has seen a 50% increase over the historical levels in just hundred years (Figure 2). Carbon dioxide is one of the greenhouse gases which traps heat from the sun and slows the natural cooling process of the earth. This increase of carbon dioxide is due to human activities: fossil fuel burning, industrial processes, deforestation, and agricultural practices. Ironically, those who suffer from the consequences did not contribute to these changes; those who did contribute are trying their best to convince the world that the temperature changes we see are natural, and nothing should be done. We must have no illusions that global warming is a human-caused phenomenon, and it has serious repercussions.

(See Figure 2. Global Temperature and Carbon Dioxide Levels)

Why should we care about global warming? Well, there are many reasons, but let us focus on earth’s water cycle. Middle schoolers know that water evaporates from the oceans, rises into the atmosphere where it cools, condenses, and falls back onto earth as rain or snow. When the oceans warm, the evaporation increases, and the warmer atmosphere can hold more water vapour. Water laden atmosphere results in severe and erratic weather. Ironically, water vapour is also a greenhouse gas, and this has a snowballing effect. The increased ocean temperature also disrupts ocean currents that influence the weather on land. The combined result is extreme and severe weather: violent storms and droughts depending on the geographic location. What is happening on the West coast of the USA is an example. The net result will be major departures from what is considered normal weather over millennia.

International organisations have been talking for 30 years about limiting global temperature increase to 1.5oC above pre-industrial levels by curtailing greenhouse gas emissions. But not much has been done and the temperature has risen by 1.2oC already. The challenge is that even if we can stop greenhouse gas emissions completely, right now, we have the problem of removing already existing 2,500 billion tons of carbon from the atmosphere, for which there are no practical solutions yet. Scientists worry about the consequences of runaway temperature increase and its effect on human life, which are many. It is not a doomsday prediction of life disappearing from earth, but a warning that life will be quite different from what humans are used to. All small tropical nations like ours are burdened with mitigating the consequences; in other words, get ready for more Ditwahs, do not wait for the twelve-day forecast.

Some opined that not enough warning was given regarding Ditwah; the truth is that the tools available for long-term prediction of the path or severity of a weather event (cyclone, typhoon, hurricane, tornado) are not perfect. There are multitude of rapidly changing factors contributing to the behavior of weather events. Meteorologists feed most up to date data to different computer models and try to identify the prediction with the highest probability. The multiple predictions for the same weather event are represented by what is known as spaghetti plots. Figure 3 shows the forecasted paths of a 2019 Atlantic hurricane five days ahead on the right and the actual path it followed on the left. While the long-term prediction of the path of a cyclone remains less accurate, its strength can vary within hours. There are several Indian ocean cyclones tracking sites online accessible to the public.

Figure 3. Forecasting vs Reality

There is no argument that short-term forecasts of this nature are valuable in saving lives and movable assets, but having long term plans in place to mitigate the effects of natural disasters is much more important than that. If a sizable section of the population must start over their lives from ground zero after every storm, how can a country economically develop?

The degree of our unpreparedness came to light during Ditwah disaster. It is not for lack of awareness; judging by the deluge of newspaper articles, blogs, vlogs, and speeches made, there is no shortage of knowledge and technical expertise to meet the challenge. The government has assured the necessary resources, and there is good reason to trust that the funds will be spent properly and not to line the pockets as happened during previous disasters. However, history tells us that despite the right conditions and good intentions, we could miss the opportunity again. Reasons for such skepticisms emerged during the few meetings the President held with the bureaucrats while visiting effected areas. Also, the COPE committee meetings plainly display the inherent inefficiencies and irregularities of our system and the absence of work ethics among all levels of the bureaucracy.

What it tells us is that we as a nation have an attitude problem. There are ample scholarly analyses by local as well as international researchers on this aspect of Sri Lankan psyche, and they label it as either island or colonial mentality. The first refers to the notion of isolated communities perceiving themselves as exceptional or superior to the rest of the world, and that the world is hell-bent on destroying or acquiring what they have. This attitude is exacerbated by the colonial mentality that promoted the divide and conquer rules and applied it to every societal characteristic imaginable; and plundered natural resources. As a result, now we are divided along ethnic, linguistic, religious, political, class, caste, geography, wealth, and many more real and imagined lines. Sadly, politicians, some religious leaders, and other opportunists keep inflaming these sentiments for their benefit when most of the population is willing to move on.

The first wish, therefore, is to get the strength, courage, and wisdom to think rationally, and discard outdated and outmoded belief systems that hinder our progress as a nation. May we get the courage to stop venerating elite who got there by exploiting the masses and the country’s wealth. More importantly, may we get the wisdom to educate the next generation to be free thinkers, give them the power and freedom to reject fabrications, myths, and beliefs that are not based on objective facts.

This necessitates altering our attitude towards many aspects of life. There is no doubt that free thinking does not come easily, it involves the proverbial ‘exterminating the consecrated bull.’ We are rightfully proud about our resplendent past. It is true that hydraulic engineering, art, and architecture flourished during the Anuradhapura period.

However, for one reason or another, we have lost those skills. Nowadays, all irrigation projects are done with foreign aid and assistance. The numerous replicas of the Avukana statue made with the help of modern technology, for example, cannot hold a candle to the real one. The fabled flying machine of Ravana is a figment of marvelous imagination of a skilled poet. Reality is that today we are a nation struggling with both natural and human-caused disasters, and dependent on the generosity of other nations, especially our gracious neighbor. Past glory is of little help in solving today’s problems.

Next comes national unity. Our society is so fragmented that no matter how beneficial a policy or an idea for the nation could be, some factions will oppose it, not based on facts, but by giving into propaganda created for selfish purposes. The island mentality is so pervasive, we fail to trust and respect fellow citizens, not to mention the government. The result is absence of long-term planning and stability. May we get the insight to separate policy from politics; to put nation first instead of our own little clan, or personal gains.

With increasing population and decreasing livable and arable land area, a national land management system becomes crucial. We must have an intelligent zoning system to prevent uncontrolled development. Should we allow building along waterways, on wetlands, and road easements? Should we not put the burden of risk on the risk takers using an insurance system instead of perpetual public aid programs? We have lost over 95% of the forest cover we had before European occupation. Forests function as water reservoirs that release rainwater gradually while reducing soil erosion and stabilizing land, unlike monocultures covering the hill country, the catchments of many rivers. Should we continue to allow uncontrolled encroachment of forests for tourism, religious, or industrial purposes, not to mention personal enjoyment of the elite? Is our use of land for agricultural purposes in keeping with changing global markets and local labor demands? Is haphazard subsistence farming viable? What would be the impact of sea level rising on waterways in low lying areas?

These are only a few aspects that future generations will have to grapple with in mitigating the consequences of worsening climate conditions. We cannot ignore the fact that weather patterns will be erratic and severe, and that will be the new normal. Survival under such conditions involves rational thinking, objective fact based planning, and systematic execution with long term nation interests in mind. That cannot be achieved with hanging onto outdated and outmoded beliefs, rituals, and traditions. Weather changes are not caused by divine interventions or planetary alignments as claimed by astrologers. Let us resolve to lay the foundation for bringing up the next generation that is capable of rational thinking and be different from their predecessors, in a better way.

by Geewananda Gunawardana

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From Diyabariya to Duberria: Lanka’s Forgotten Footprint in Global Science

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Snakes and their name origins in Sinhala

For centuries, Sri Lanka’s biological knowledge travelled the world — anonymously. Embedded deep within the pages of European natural history books, Sinhala words were copied, distorted and repurposed, eventually fossilising into Latinised scientific names of snakes, bats and crops found thousands of kilometres away.

Africa’s reptiles, Europe’s taxonomic catalogues and global field guides still carry those echoes, largely unnoticed and uncredited.

Now, a Sri Lankan herpetologist is tracing those forgotten linguistic footprints back to their source.

Through painstaking archival research into 17th- and 18th-century zoological texts, herpetologist and taxonomic researcher Sanjaya Bandara has uncovered compelling evidence that several globally recognised scientific names — long assumed to be derived from Greek or Latin — are in fact rooted in Sinhala vernacular terms used by villagers, farmers and hunters in pre-colonial Sri Lanka.

“Scientific names are not just labels. They are stories,” Bandara told The Island. “And in many cases, those stories begin right here in Sri Lanka.”

Sanjaya Bandara

At the heart of Bandara’s work is etymology — the study of word origins — a field that plays a crucial role in zoology and taxonomy.

While classical languages dominate scientific nomenclature, his findings reveal that Sinhala words were quietly embedded in the foundations of modern biological classification as early as the 1700s.

One of the most striking examples is Ahaetulla, the genus name for Asian vine snakes. “The word Ahaetulla is not Greek or Latin at all,” Bandara explained. “It comes directly from the Sinhala vernacular used by locals for the Green Vine Snake.” Remarkably, the term was adopted by Carl Linnaeus himself, the father of modern taxonomy.

Another example lies in the vespertilionid bat genus Kerivoula, described by British zoologist John Edward Gray. Bandara notes that the name is a combination of the Sinhala words kiri (milky) and voula (bat). Even the scientific name of finger millet, Eleusine coracana, carries linguistic traces of the Sinhala word kurakkan, a cereal cultivated in Sri Lanka for centuries.

Yet Bandara’s most intriguing discoveries extend far beyond the island — all the way to Africa and the Mediterranean.

In a research paper recently published in the journal Bionomina, Bandara presented evidence that two well-known snake genera, Duberria and Malpolon, both described in 1826 by Austrian zoologist Leopold Fitzinger, likely originated from Sinhala words.

The name Duberria first appeared in Robert Knox’s 1681 account of Ceylon, where Knox refers to harmless water snakes called “Duberria” by locals. According to Bandara, this was a mispronunciation of Diyabariya, the Sinhala term for water snakes.

“Mispronunciations are common in Knox’s writings,” Bandara said. “English authors of the time struggled with Sinhala phonetics, and distorted versions of local names entered European literature.”

Over time, these distortions became formalised. Today, Duberria refers to African slug-eating snakes — a genus geographically distant, yet linguistically tethered to Sri Lanka.

Bandara’s study also proposes the long-overdue designation of a type species for the genus, reviving a 222-year-old scientific name in the process.

Equally compelling is the case of Malpolon, the genus of Montpellier snakes found across North Africa, the Middle East and southern Europe. Bandara traced the word back to a 1693 work by English zoologist John Ray, which catalogued snakes from Dutch India — including Sri Lanka.

“The term Malpolon appears alongside Sinhala vernacular names,” Bandara noted. “It is highly likely derived from Mal Polonga, meaning ‘flowery viper’.” Even today, some Sri Lankan communities use Mal Polonga to describe patterned snakes such as the Russell’s Wolf Snake.

Bandara’s research further reveals Sinhala roots in the African Red-lipped Herald Snake (Crotaphopeltis hotamboeia), whose species name likely stems from Hothambaya, a regional Sinhala term for mongooses and palm civets.

“These findings collectively show that Sri Lanka was not just a source of specimens, but a source of knowledge,” Bandara said. “Early European naturalists relied heavily on local names, local guides and local ecological understanding.”

Perhaps the most frequently asked question Bandara encounters concerns the mighty Anaconda. While not a scientific name, the word itself is widely believed to be a corruption of the Sinhala Henakandaya, another snake name recorded in Ray’s listings of Sri Lankan reptiles.

“What is remarkable,” Bandara reflected, “is that these words travelled across continents, entered global usage, and remained there — often stripped of their original meanings.”

For Bandara, restoring those meanings is about more than taxonomy. It is about reclaiming Sri Lanka’s rightful place in the history of science.

“With this study, three more Sinhala words formally join scientific nomenclature,” he said.

“Who would have imagined that a Sinhala word would be used to name a snake in Africa?”

Long before biodiversity hotspots became buzzwords and conservation turned global, Sri Lanka’s language was already speaking through science — quietly, persistently, and across continents.

By Ifham Nizam

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Children first – even after a disaster

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However, the children and their needs may be forgotten after a disaster.

Do not forget that children will also experience fear and distress although they may not have the capacity to express their emotions verbally. It is essential to create child-friendly spaces that allow them to cope through play, draw, and engage in supportive activities that help them process their experiences in a healthy manner.

The Institute for Research & Development in Health & Social Care (IRD), Sri Lanka launched the campaign, titled “Children first,” after the 2004 Tsunami, based on the fundamental principle of not to medicalise the distress but help to normalise it.

The Island picture page

The IRD distributed drawing material and play material to children in makeshift shelters. Some children grabbed drawing material, but some took away play material. Those who choose drawing material, drew in different camps, remarkably similar pictures; “how the tidal wave came”.

The Island” supported the campaign generously, realising the potential impact of it.

The campaign became a popular and effective public health intervention.

“A public health intervention (PHI) is any action, policy, or programme designed to improve health outcomes at the population level. These interventions focus on preventing disease, promoting health, and protecting communities from health threats. Unlike individual healthcare interventions (treating individuals), which target personal health issues, public health interventions address collective health challenges and aim to create healthier environments for all.”

The campaign attracted highest attention of state and politicians.

The IRD continued this intervention throughout the protracted war, and during COVID-19.

The IRD quick to relaunch the “children first” campaign which once again have received proper attention by the public.

While promoting a public health approach to handling the situation, we would also like to note that there will be a significant smaller percentage of children and adolescents will develop mental health disorders or a psychiatric diagnosis.

We would like to share the scientific evidence for that, revealed through; the islandwide school survey carried out by the IRD in 2007.

During the survey, it was found that the prevalence of emotional disorder was 2.7%, conduct disorder 5.8%, hyperactivity disorder was 0.6%, and 8.5% were identified as having other psychiatric disorders. Absenteeism was present in 26.8%. Overall, previous exposure to was significantly associated with absenteeism whereas exposure to conflict was not, although some specific conflict-related exposures were significant risk factors. Mental disorder was strongly associated with absenteeism but did not account for its association with tsunami or conflict exposure.

The authors concluded that exposure to traumatic events may have a detrimental effect on subsequent school attendance. This may give rise to perpetuating socioeconomic inequality and needs further research to inform policy and intervention.

Even though, this small but significant percentage of children with psychiatric disorders will need specialist interventions, psychological treatment more than medication. Some of these children may complain of abdominal pain and headaches or other physical symptoms for which doctors will not be able to find a diagnosable medical cause. They are called “medically unexplained symptoms” or “somatization” or “bodily distress disorder”.

Sri Lanka has only a handful of specialists in child and adolescent psychiatric disorders but have adult psychiatrists who have enough experience in supervising care for such needy children. Compared to tsunami, the numbers have gone higher from around 20 to over 100 psychiatrists.

Most importantly, children absent from schools will need more close attention by the education authorities.

In conclusion, going by the principles of research dissemination sciences, it is extremely important that the public, including teachers and others providing social care, should be aware that the impact of Cyclone Ditwah, which was followed by major floods and landslides, which is a complex emergency impact, will range from normal human emotional behavioural responses to psychiatric illnesses. We should be careful not to medicalise this normal distress.

It’s crucial to recall an important statement made by the World Health Organisation following the Tsunam

Prof. Sumapthipala MBBS, DFM, MD Family Medicine, FSLCFP (SL), FRCPsych, CCST (UK), PhD (Lon)]

Director, Institute for Research and Development in Health and Social Care, Sri Lanka

Emeritus Professor of Psychiatry, School of Medicine, Faculty of Medicine & Health Sciences, Keele University, UK

Emeritus Professor of Global Mental Health, Kings College London

Secretary General, International society for Twin Studies 

Visiting Professor in Psychiatry and Biomedical Research at the Faculty of Medicine, Kotelawala Defence University, Sri Lanka

Associate Editor, British Journal Psychiatry

Co-editor Ceylon Medical Journal.

Prof. Athula Sumathipala

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